CHARLES LEWIS PROESEL JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

CHARLES LEWIS

Last Name

PROESEL JR

Suffix

DDS

Business Name

CHARLES LEWIS PROESEL JR DDS

Original Issue Date

01/01/1998

Effective Date

03/18/2019

Expiration Date

01/31/2022

City

GRIDLEY

State

Zip

61744

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022